ATI RN FUNDAMENTALS CMS PROCTORED EXAM 2025/2026 | 400 VERIFIED
FUNDAMENTALS QUESTIONS + RATIONALES | NCLEX
Course: ATI Fundamentals of Nursing CMS Proctored | Total: 200 Verified Questions
Description: 400+ fundamentals Q: safety, infection control, mobility, hygiene, vital signs, nursing process, documentation, ethics.
Original study material based on ATI testing standards, Lewis Med-Surg, Saunders NCLEX, and NCSBN Clinical Judgment Measurement Model. All
questions author-created, not copied from ATI.
[1] Surgical asepsis: Which breaks sterile technique?
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[2] Restraints: When can nurse apply?
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[3] Fall risk: Hendrich II score high means?
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[4] Surgical asepsis: Which breaks sterile technique? (Case Variant 4)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[5] Restraints: When can nurse apply? (Case Variant 5)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[6] Fall risk: Hendrich II score high means? (Case Variant 6)
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
,Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[7] Surgical asepsis: Which breaks sterile technique? (Case Variant 7)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[8] Restraints: When can nurse apply? (Case Variant 8)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[9] Fall risk: Hendrich II score high means? (Case Variant 9)
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[10] Surgical asepsis: Which breaks sterile technique? (Case Variant 10)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[11] Restraints: When can nurse apply? (Case Variant 11)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[12] Fall risk: Hendrich II score high means? (Case Variant 12)
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[13] Surgical asepsis: Which breaks sterile technique? (Case Variant 13)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
, Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[14] Restraints: When can nurse apply? (Case Variant 14)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[15] Fall risk: Hendrich II score high means? (Case Variant 15)
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[16] Surgical asepsis: Which breaks sterile technique? (Case Variant 16)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[17] Restraints: When can nurse apply? (Case Variant 17)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[18] Fall risk: Hendrich II score high means? (Case Variant 18)
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[19] Surgical asepsis: Which breaks sterile technique? (Case Variant 19)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[20] Restraints: When can nurse apply? (Case Variant 20)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
FUNDAMENTALS QUESTIONS + RATIONALES | NCLEX
Course: ATI Fundamentals of Nursing CMS Proctored | Total: 200 Verified Questions
Description: 400+ fundamentals Q: safety, infection control, mobility, hygiene, vital signs, nursing process, documentation, ethics.
Original study material based on ATI testing standards, Lewis Med-Surg, Saunders NCLEX, and NCSBN Clinical Judgment Measurement Model. All
questions author-created, not copied from ATI.
[1] Surgical asepsis: Which breaks sterile technique?
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[2] Restraints: When can nurse apply?
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[3] Fall risk: Hendrich II score high means?
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[4] Surgical asepsis: Which breaks sterile technique? (Case Variant 4)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[5] Restraints: When can nurse apply? (Case Variant 5)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[6] Fall risk: Hendrich II score high means? (Case Variant 6)
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
,Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[7] Surgical asepsis: Which breaks sterile technique? (Case Variant 7)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[8] Restraints: When can nurse apply? (Case Variant 8)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[9] Fall risk: Hendrich II score high means? (Case Variant 9)
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[10] Surgical asepsis: Which breaks sterile technique? (Case Variant 10)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[11] Restraints: When can nurse apply? (Case Variant 11)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[12] Fall risk: Hendrich II score high means? (Case Variant 12)
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[13] Surgical asepsis: Which breaks sterile technique? (Case Variant 13)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
, Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[14] Restraints: When can nurse apply? (Case Variant 14)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[15] Fall risk: Hendrich II score high means? (Case Variant 15)
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[16] Surgical asepsis: Which breaks sterile technique? (Case Variant 16)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[17] Restraints: When can nurse apply? (Case Variant 17)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
Without order
Correct Answer: A
Rationale: Restraints require order, least restrictive first, renew q24h, assess q15min-2h, safety.
[18] Fall risk: Hendrich II score high means? (Case Variant 18)
Implement fall precautions: bed alarm, hourly rounding, non-skid socks
No action
Restrain
Raise bed highest
Correct Answer: A
Rationale: High fall risk: alarm, low bed, call light in reach, hourly rounding, clutter-free, non-skid.
[19] Surgical asepsis: Which breaks sterile technique? (Case Variant 19)
Reaching over sterile field
Keeping 1 inch border
Facing sterile field
Opening sterile package away from body
Correct Answer: A
Rationale: Reaching over sterile field contaminates. Maintain 1-inch border, face field, open away.
[20] Restraints: When can nurse apply? (Case Variant 20)
When provider order exists and less restrictive measures failed
Whenever client confused
For staff convenience
